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This study explored the views of people with COPD on informal caregiving, highlighting lifestyle adjustments and caregiver\u2013patient dynamics. A qualitative study using semistructured interviews was conducted with 22 participants with advanced COPD recruited from palliative care services. Three themes emerged: patient autonomy, adapting to life under medical constraints and caregiver's understanding of patients\u2019 needs. Health deterioration caused patient dependency on caregivers, along with feelings of burden, frustration, and distress. Good information provision and education improve caregiver involvement and patients\u2019 self-management. Participants without informed caregiver support struggled with anxiety and disease management. Caregiver\u2013patient relationship quality impacted the caregiver's involvement. In conclusion, patient dependency in advanced COPD leads to frustration and distress, highlighting the need for caregiver education and support. 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